[Hiring] Provider Credentialing Specialist @Reliance Management Services

Role Description

We're hiring a Provider Credentialing Specialist to join our team - remotely! This full-time role will support provider credentialing, recredentialing, hospital privileging, payer enrollment, state licensure, and onboarding across our organization. If you're detail-oriented, organized, and experienced in healthcare credentialing, we'd love to hear from you. Apply today and grow with Radiology Imaging Associates.

The Provider Credentialing Specialist is responsible for coordinating and maintaining the credentialing, recredentialing, privileging, and payer enrollment activities for physicians, advanced practice providers, and other applicable healthcare professionals. This position ensures that provider credentials are accurate, complete, current, and compliant with organizational policies, payer requirements, hospital medical staff bylaws, and applicable federal and state regulations.

Qualifications

• High school diploma or equivalent required.
• Associate degree in healthcare administration, business administration, health information management, or a related field preferred.
• At least two years of experience in provider credentialing, payer enrollment, medical staff services, healthcare administration, or a related field preferred.
• Experience credentialing physicians and advanced practice providers.
• Working knowledge of provider credentialing, recredentialing, payer enrollment, and hospital privileging processes.
• Experience using CAQH and payer enrollment portals.
• Proficiency with Microsoft Outlook, Word, and Excel.
• Ability to manage multiple providers, applications, deadlines, and follow-up activities simultaneously.
• Strong written and verbal communication skills.
• Strong attention to detail and ability to identify discrepancies in provider documentation.
• Ability to handle confidential and sensitive information appropriately.

Requirements

• Experience supporting a large physician group or hospital system.
• Experience credentialing providers across multiple hospitals, facilities, states, or payer networks.
• Experience with PECOS, Medicaid enrollment systems, NPPES, CAQH, and commercial payer portals.
• Familiarity with Medicare reassignments, group enrollment, practice-location updates, and provider revalidation.
• Experience with credentialing or provider data management software.
• Familiarity with delegated credentialing requirements and credentialing audits.
• Knowledge of accreditation and industry credentialing standards.
• Certified Provider Credentialing Specialist, or CPCS, certification preferred but not required.
• Certified Professional Medical Services Management, or CPMSM, certification is a plus.
• Experience working with radiology or other hospital-based specialties is a plus.

Benefits

• Competitive salary.
• Remote work flexibility.
• Opportunities for professional development.
• Supportive team environment.

Company Description

Radiology Imaging Associates is committed to providing exceptional healthcare services. We value our employees and strive to create a positive work environment.